Niah Yvette Fulford, PT, DPT - Medicare Physical Therapist in Ellenwood, GA

Niah Yvette Fulford, PT, DPT is a medicare enrolled "Physical Therapist" provider in Ellenwood, Georgia. Her current practice location is 2838 E Atlanta Rd Ste 2, Ellenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 782-3609.

Niah Yvette Fulford is licensed to practice in Georgia (license number PT015191) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417071564.

Contact Information

Niah Yvette Fulford, PT, DPT
2838 E Atlanta Rd Ste 2,
Ellenwood, GA 30294-2780
(678) 782-3609
(678) 782-3803

Map and Direction




Healthcare Provider's Profile

Full NameNiah Yvette Fulford
GenderFemale
SpecialityPhysical Therapist
Location2838 E Atlanta Rd Ste 2, Ellenwood, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417071564
  • Provider Enumeration Date: 03/16/2007
  • Last Update Date: 06/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3870874886
  • Enrollment ID: I20210726000845

Medical Identifiers

Medical identifiers for Niah Yvette Fulford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417071564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 050120183A (Indiana)Secondary
225100000XPhysical Therapist 2305204685 (Virginia)Secondary
225100000XPhysical Therapist PT015191 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Niah Yvette Fulford allows following entities to bill medicare on her behalf.
Provider NameMilton Hall Surgical Associates, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1649238460
PECOS PAC ID: 6204722887
Enrollment ID: O20040223000652
Provider NameIndependent Physical Therapy Of Georgia Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396
Provider NameBenchmark Physical Therapy, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083666903
PECOS PAC ID: 1557395209
Enrollment ID: O20050921001120
Provider NameNorthside Surgical Professional Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598
Provider NameAdvance Rehabilitation & Consulting Limited Partnership
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235434283
PECOS PAC ID: 4082890645
Enrollment ID: O20110609000322
Provider NameDrayer Physical Therapy Georgia, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962830406
PECOS PAC ID: 4284863317
Enrollment ID: O20140212000668

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Niah Yvette Fulford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Niah Yvette Fulford, PT, DPT
1200 Corporate Dr Ste 400,
Hoover, AL 35242-5424

Ph: (423) 238-7217
Niah Yvette Fulford, PT, DPT
2838 E Atlanta Rd Ste 2,
Ellenwood, GA 30294-2780

Ph: (678) 782-3609

Reviews and Comments


Physical Therapist in Ellenwood, GA

Tamala Blevins,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4041 Smithfield Trl, Ellenwood, GA 30294
Phone: 404-520-2675    
Miss Latalvia Paramore, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3056 Anvil Block Rd Ste 118, Ellenwood, GA 30294
Phone: 404-366-8100    
Dr. Nsikak Alex Essienumoh, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3056 Anvil Block Rd, Suite 118, Ellenwood, GA 30294
Phone: 404-366-8100    Fax: 404-366-8106
Cierra Deonika Thornton, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294
Phone: 678-782-3609    Fax: 678-782-3803
Amber Holmes, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 145 Huntcliff Trl, Ellenwood, GA 30294
Phone: 310-210-2291    
Independent Physical Therapy Of Ga Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294
Phone: 833-308-0278    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.